Ding Huai-Yu, Yang Xin-Chun, Liu Xiu-Lan, Liu Tai-Feng, Bao Rong-Feng
Heart Center, Beijing Chaoyang Hospital Affiliated to the Capital University of Medical Sciences, Beijing 100020, China.
Sheng Li Xue Bao. 2006 Apr 25;58(2):129-35.
To investigate the characteristics of action potentials and their ionic mechanism in cardiomyocytes from rabbit pulmonary vein sleeves (PVC), and to compare them with those in left atrial cardiomyocytes (LAC), the technique of whole-cell patch clamp was applied. We used current-clamp technique to record action potentials, and voltage-clamp technique to record ionic currents. PVC had longer action potential duration (APD) than LAC, and therefore a second plateau response could be induced easily, suggesting a strong tendency of early afterdepolarization (EAD) genesis in PVC. Non-selective cation current (I(NSCC)) was first recorded in both LAC and PVC. This I(NSCC)was permeable to K(+), Na(+) and Cs(+), sensitive to GdCl3 but not sensitive to 4-AP. The current densities of inward rectifier potassium current (I(K1)), transient outward potassium current (I(To)) and I(NSCC) were all significantly less in PVC than those in LAC. These differences in repolarizing ionic currents between PVC and LAC form a basis of the differences in their action potential configurations and might be an important ionic mechanism of the arrhythmogenic characteristics of pulmonary vein muscle sleeves.
为研究兔肺静脉肌袖(PVC)心肌细胞动作电位特征及其离子机制,并与左心房心肌细胞(LAC)进行比较,采用了全细胞膜片钳技术。我们用电流钳技术记录动作电位,用电压钳技术记录离子电流。PVC的动作电位时程(APD)比LAC长,因此更容易诱发第二个平台期反应,提示PVC有较强的早期后去极化(EAD)发生倾向。在LAC和PVC中均首次记录到非选择性阳离子电流(I(NSCC))。该I(NSCC)对K(+)、Na(+)和Cs(+)通透,对GdCl3敏感,但对4-AP不敏感。PVC中内向整流钾电流(I(K1))、瞬时外向钾电流(I(To))和I(NSCC)的电流密度均显著低于LAC。PVC和LAC之间复极化离子电流的这些差异构成了它们动作电位形态差异的基础,可能是肺静脉肌袖致心律失常特征的重要离子机制。